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  Online Registration  

Applicant Particulars
       
 

Student Name

  
  Age  
  IC No (e.g. 830910141234)  
  Address  
       
  Contact No    
  House Phone  
  Mobile Phone  
       
  EMail Address  
  School Name  
   
  
 
Parents / Guardian Particulars		    
 


Parents  Guardian
 

  
  Name  
         
  Contact No      
  House Phone    
  Mobile Phone    
  Office Phone    
         
  Email Address  
         
  Mode of Payment 3 months - RM  597.00
 6 months - RM 1194.00
 1 year     - RM 2388.00*		  
         
         
  * A copy of online registration information will be sent to your e-mailbox.  
  Please contact us if you do not receive it upon registration.

* Please make cheques crossed and payable to Sportsalvation Sdn Bhd.

* For further enquiries please contact Ms. Manish at 016-275 4245
 
?2005 SPORTSALVATION SDN BHD. ALL RIGHTS RESERVED.
All other company or product names mentioned herein are trademarks or registered trademarks of their respective companies.
Last update 07 09 2010.